Exploring HIV risk behavior and sexual/gender identities among transgender women and their sexual partners in Peru using respondent-driven sampling.

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Title: Exploring HIV risk behavior and sexual/gender identities among transgender women and their sexual partners in Peru using respondent-driven sampling.
Authors: Long, Jessica E., Sanchez, Hugo, Dasgupta, Sayan, Huerta, Leyla, Calderón Garcia, Dania, Lama, Javier R., Duerr, Ann
Source: AIDS Care. Sep2022, Vol. 34 Issue 9, p1187-1195. 9p. 1 Diagram, 2 Charts, 1 Graph.
Subjects: HIV infections, Risk-taking behavior, Human sexuality, Trans women, Cross-sectional method, Gender identity, Surveys, Sex customs, Sexual orientation identity, Sexual partners, Anal sex, Condoms
Geographic Terms: Peru
Abstract: HIV prevalence is high among transgender women, but little is known about cisgender men who have sex with transgender women (MSTW). The objective of this study was to investigate characteristics and behavior of MSTW compared to transgender women and men who have sex with men (MSM) using a modified respondent-driven sampling design. Seed participants completed a survey and invited up to three sex partners. Forward recruitment continued in waves through the referral of sex partners. Cross-sectional data were assessed using mixed effects models. From February to July 2018, 479 participants in Lima, Peru enrolled (n = 199 transgender women, n = 196 MSTW, and n = 45 MSM). MSTW behavior and identity differed significantly from that of transgender women and MSM. MSTW primarily identified as bisexual (69%) or heterosexual (15%) and only 6% reported male partners. Insertive condomless anal intercourse was reported by 61% of MSTW; 46% did not know their HIV serostatus. Compared to MSTW without male partners, those with recent male partners were more likely to sell sex (OR 15.7, 95% CI 4.1–60.5), and report condomless receptive anal intercourse (OR 89.0, 95% CI 19.1–414.8). This evidence suggests that MSTW are a distinct population from MSM, and highlights the critical need to include MSTW in HIV research and interventions. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: Exploring HIV risk behavior and sexual/gender identities among transgender women and their sexual partners in Peru using respondent-driven sampling.
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  Data: <searchLink fieldCode="AR" term="%22Long%2C+Jessica+E%2E%22">Long, Jessica E.</searchLink><br /><searchLink fieldCode="AR" term="%22Sanchez%2C+Hugo%22">Sanchez, Hugo</searchLink><br /><searchLink fieldCode="AR" term="%22Dasgupta%2C+Sayan%22">Dasgupta, Sayan</searchLink><br /><searchLink fieldCode="AR" term="%22Huerta%2C+Leyla%22">Huerta, Leyla</searchLink><br /><searchLink fieldCode="AR" term="%22Calderón+Garcia%2C+Dania%22">Calderón Garcia, Dania</searchLink><br /><searchLink fieldCode="AR" term="%22Lama%2C+Javier+R%2E%22">Lama, Javier R.</searchLink><br /><searchLink fieldCode="AR" term="%22Duerr%2C+Ann%22">Duerr, Ann</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Sep2022, Vol. 34 Issue 9, p1187-1195. 9p. 1 Diagram, 2 Charts, 1 Graph.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Risk-taking+behavior%22">Risk-taking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Human+sexuality%22">Human sexuality</searchLink><br /><searchLink fieldCode="DE" term="%22Trans+women%22">Trans women</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Gender+identity%22">Gender identity</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+customs%22">Sex customs</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+orientation+identity%22">Sexual orientation identity</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+partners%22">Sexual partners</searchLink><br /><searchLink fieldCode="DE" term="%22Anal+sex%22">Anal sex</searchLink><br /><searchLink fieldCode="DE" term="%22Condoms%22">Condoms</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Peru%22">Peru</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: HIV prevalence is high among transgender women, but little is known about cisgender men who have sex with transgender women (MSTW). The objective of this study was to investigate characteristics and behavior of MSTW compared to transgender women and men who have sex with men (MSM) using a modified respondent-driven sampling design. Seed participants completed a survey and invited up to three sex partners. Forward recruitment continued in waves through the referral of sex partners. Cross-sectional data were assessed using mixed effects models. From February to July 2018, 479 participants in Lima, Peru enrolled (n = 199 transgender women, n = 196 MSTW, and n = 45 MSM). MSTW behavior and identity differed significantly from that of transgender women and MSM. MSTW primarily identified as bisexual (69%) or heterosexual (15%) and only 6% reported male partners. Insertive condomless anal intercourse was reported by 61% of MSTW; 46% did not know their HIV serostatus. Compared to MSTW without male partners, those with recent male partners were more likely to sell sex (OR 15.7, 95% CI 4.1–60.5), and report condomless receptive anal intercourse (OR 89.0, 95% CI 19.1–414.8). This evidence suggests that MSTW are a distinct population from MSM, and highlights the critical need to include MSTW in HIV research and interventions. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2021.1967855
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 1187
    Subjects:
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Risk-taking behavior
        Type: general
      – SubjectFull: Human sexuality
        Type: general
      – SubjectFull: Trans women
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Gender identity
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Sex customs
        Type: general
      – SubjectFull: Sexual orientation identity
        Type: general
      – SubjectFull: Sexual partners
        Type: general
      – SubjectFull: Anal sex
        Type: general
      – SubjectFull: Condoms
        Type: general
      – SubjectFull: Peru
        Type: general
    Titles:
      – TitleFull: Exploring HIV risk behavior and sexual/gender identities among transgender women and their sexual partners in Peru using respondent-driven sampling.
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            NameFull: Long, Jessica E.
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            NameFull: Sanchez, Hugo
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            NameFull: Dasgupta, Sayan
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            NameFull: Huerta, Leyla
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            NameFull: Calderón Garcia, Dania
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            NameFull: Lama, Javier R.
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            NameFull: Duerr, Ann
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          Dates:
            – D: 01
              M: 09
              Text: Sep2022
              Type: published
              Y: 2022
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              Value: 09540121
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              Value: 34
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            – TitleFull: AIDS Care
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